Hello and welcome to health point T.V.
I'm Dr Michael Wood chief medical officer at MIL's Peninsula health services we're
here at the new medical center in Burlingame in today's show we're going to talk
about a subject that has been recognized over the past decade as being
a major public health problem obesity in the United States has increased such to
two thirds of the adult population is either overweight or obese obesity can be
a serious health threat and put people at risk for other associated conditions such
as high blood pressure stroke coronary artery disease type two diabetes
certain types of cancer and even premature death at MIL's Peninsula Medical Center
we offer weight loss surgery for some people this can be
a life changing choice in fact Mills Peninsula has been recognized as
a center of excellence for weight loss also known as Barry Actrix surgery weight
loss surgery is safe and effective. Most patients lose ten to fifteen pounds per
month for the first year three quarters of our patients meet or exceed their goals
within the first two years in this episode of Health point T.V.
We will meet our weight loss surgery experts as well as talk with
a patient who said that the surgery gave him back his life also we will be giving
you
a behind the scenes tour of our new operating rooms. Show you how we even gentle exercises
can make
a very big difference and we'll be talking about diabetes and nutrition. We're
living in an exciting time for the treatment of obesity
a big step has been taken in the understanding of the underlying cause of many
health problems as access weight weight loss surgery is an important tool that
doctors use to help treat these problems. Are typical surgery candidate is about
eighty to one hundred pounds or more overweight there between the ages of eighteen
and sixty. Many of our patients have weighed the weight of health problems
including Type two or adult onset diabetes gastro softball chill reflux or bad
heartburn. Hypertension sometimes on many medications asthma and obstructive
sleep apnea laparoscopic gastric bypass their names are gold standard it's the most
commonly performed
a weight loss surgery operation in the United States and in the practice it has
a number of features that help people lose weight and keep the weight off long term
most importantly we surgically make this time my first small to help you feel full
with
a small meal in addition there are some short term malabsorption that limits the
nutrients that are absorbed to help people sustain the weight loss and keep that
weight off long term there are other types of weight loss surgery including the
laparoscopic adjustable gastric band and the laparoscopic vertical sleeve
gastrectomy these operations result in less weight loss than the gastric bypass but
the procedures are less complex we also perform and
a scopic surgery where there are no incisions on the outside of the body this is
a surgical development area which we are excited to bring that sort of innovation
to our patients are surgical practice focuses on the medical benefits of weight
loss surgery share patients are excited they fit into smaller closer they get
a lot of attention for the weight loss. Really want to focus on the health benefits
some of the most dramatic ourselves with type two diabetes or adult onset diabetes
after gastric bypass many of our patients don't even need their diabetes
medications anymore the ongoing weight loss and maintenance of the weight loss will
help keep the diabetes from coming back for the long term another significant
benefit of weight loss after weight loss surgery is regarding fertility and
childbirth the extra weight decreases fertility and increases the risk of
miscarriage significant weight loss can make your pregnancy easier and safer as you
can tell our emphasis is on long term results and helping people be successful with
their weight loss. I had my surgery just a little over
a year ago I've lost one hundred pounds and I feel confident that I'll be able to
keep the thought I'm
a black and white headed person like an all or nothing I'm like
a decision maker it was something I want to do I'm going to do it and I did my
experience with Dr Vetter was. Absolutely wonderful including him
and his staff warm while supporter did anything that they could to make me
understand what I would be going through they made sure that I met with
a psychiatry has met with a nutritionist and they offer a support group once
a month that everyone has either gone through the surgeries or is considering them
attend the support group is
a safe place to go to and either ask questions about the different surgeries talk
to different people who have had the surgeries and their outcomes and challenge is
whether the challenges be eating physical exercise or health problems honestly this
is just
a tool doesn't magically just come off had to change right eating habits three
meals a day high protein no snacking
a lot of it is also giving feedback of what does work to. You stay within the
guidelines you know your new eating habits I had tried Jenny Craig lost twenty five
pounds I kept that off but having so much more weight to go I knew myself that I
was lazy I wouldn't take the time to lose that hundred pounds I needed to to have
the quality of life to be there for my daughter and this for me was the tool that I
felt would help me so I wish it would have been that easy without having to have
surgery for me but it wasn't my dad sides heavy and part of that for me was seen
the difficulties that they have. And not wanting health problems myself as I got
older that were
a possibility. But my dad he's almost eighty and he. Mentally
you know sixty or whatever but he walks in the cane and he's overweight. And I can
only wish I could say to everybody and his side of the family. This is
a great tool. I feel that I finally. Feel and look how I have always felt inside.
Would be considered
a weight management. For individual we consider three issues the amount of food
that the individual consumes the type of food that they consume what is high
caloric sugars or protein fibers and so on and lastly how often the patient
eats. And then we can put everything together into a package into
a comprehensive program so we can be successful in treating that surgery address is
the amount of food it allows the patient to feel satisfied with
a small amount of food by all train or reshape in the stomach Fortunately for the
individual we can now address the surgical issues through minimally invasive
techniques we have miniature eyes cameras instruments that can be introduced into
the abdomen and perform all the surgical techniques through this tiny incisions
there for the recovery and the return back to normal activities that in the visual
has been shortened and see the simplest of the surgical technique is the adjustable
band once we can visualize the insides we look for the top of the stomach to one of
the incisions we could and I just will bang is like
a collar band they go to the top of the stomach it is connected to
a reservoir where one later on we can put fluid to adjust the size of the opening
by the top of the stomach. This allows the food to be laid at the top of the
stomach and make you feel satisfied with a smaller amount of food
a more aggressive procedure is the rule on why gastric bypass this operation again
can be done in the open or laparoscopic or minimally invasive fashion we will see
the instruments go in to allow the surgeon to see the inside of the abdomen. We
find the top of the stomach and divide it into this is
a permanent division it allows for
a small reservoir of stomach at the top so when the patient eats he feels satisfied
very rapidly. Then the small bowel gets divided by the down and reconnected
at the top to allow the food stream to go to the small bottle we did that gesture
in an upset option of the food gets carried. I was fifty years old
and tipping the scales at three hundred fifteen pounds because of my weight I'd
been diagnosed with sleep apnea I had
a herniated disc I had diabetes and my asthma was continuing to get worse and no
matter what I've tried it didn't seem to do any good so I had to go to the physical
weight loss clinic and Dr Robert better and get professional help my surgical
experience was like
a holiday when I checked into the hospital is like checking into
a resort they answered all of my questions to the one I was actually laid down on
the gurney and put into the surgical room as relaxed ready to go took
a little nap work up next thing I knew I was in recovery by Sunday I was home for
a barbecue recovery I was just as nervous about recovery as I was the operation
itself I followed my doctor's directions I exercised hard I didn't overeat and
eighteen months I'd lost
a third of my body weight had gone from three hundred fifteen pounds to just about
two hundred pounds losing the weight was great but my health afterwards well I'm
able to donate blood because my diabetes is not
a factor in my life anymore I don't have to worry about my herniated disc I don't
even know that I have it because my back does not hurt when I walk my asthma I
haven't used my asthma medication for the last five years. For me where
loss surgery was the answer to my problems I'm no longer chasing rainbows I'm no
longer on yo yo diets and exercise plans I can live my own life.
With any weight loss program exercise is
a vital component people who are overweight or I've had recent surgery to. Take it
slowly in the beginning an excellent way to do that is with exercise bands like
these Let me show you feel exercises the first exercise is
a chest press wrap the band around
a sturdy object behind you and hold handles in each hand beginning the movement
elbows bent and arms parallel to the ground squeeze the chest and press the arms
out without locking elbows Return to start and repeat use
a medium to heavy band. Next I'll show you the row. Wrap the band around
a sturdy object in front of you arms extended palms facing each other squeeze the
back to pull the elbows and just past the torso keeping them close to the body
release and repeat use
a medium to heavy band. These exercises can also be done seated
exercise bands are really useful for many reasons First they don't take up much
space you can easily store them in your closet thing crease coordination because
there is tension throughout the exercises and you have to stabilize your body. They
are
a variety with weights are often limited as to how many exercises you can do but the
resistance band allows you to change your positioning in multiple ways this changes
how your body works and how an exercise feels they're inexpensive They range from
anywhere from five to twenty dollars and you can find any discount department store
or sporting goods store. Here's a few tips for buying bands by
a variety of bands most bands are color coded according to tension level light
medium heavy very heavy it's best to have at least three light medium and heavy
since different muscle groups require different levels of resistance if you've
never used exercise or this could be
a whole new way of working together to try. Weight loss surgery is
a tool. We prepare our patients with
a variety of classes support groups and several appointments with their physicians
so we can really ready them for the procedure and what lies afterwards lifestyle
changes are imperative and not just exercise and dietary changes we don't want our
patients to look at this is a diet with
a beginning middle and end lifestyle changes that will affect them forever three
meals
a day protein based foods lots of liquids and the avoidance of starchy foods we'd
like our patients to recognize that their relationship with food changes in order
to be successful. If you are used to eating when you're nervous or for good or
for reward that type of eating has no place in
a successful lifestyle change support group affords patients an opportunity to
share what they're going through and hear what others are experiencing they can
share challenges for example during the holidays they will share with each other
how they deal with family gatherings and that sort of thing or they share their
successes common successes the first flight on an airplane without having to use an
extension seatbelt I think probably the most important and significant success is
when
a patient shares that they have discontinued their diabetes medication currently
obesity surgery candidates have a B.M.I.
Between thirty five and forty recently the F.D.A.
Recommended that a thirty to thirty five B.M.I.
Could be indicated for lap band this is
a development we're very excited about because it may mean that we can offer
obesity surgery to more people in the future. At most peninsula we recognize the
commitment that our patients make when choosing weight loss surgery we want our
patients to know that we're here to support you so you can be successful in your
weight loss journey we met at Nutrisystem what twenty six years ago so
when when asked. You know why we chose variadic intervention we simply had
tried everything else my way. Prior to surgery the night before I
went in on. December first over two thousand and nine was I say it was
two hundred nine you know if I didn't go over three hundred but right up there for
him right now my weight is
a hundred eighty five pounds. Healthy my cardiologist that couldn't be happier my
hypertension has completely dissipated my sleep apnea that's completely disappeared
and in two thousand and eight my husband Richard underwent very Actrix surgery and
as I watched his progress and success over the ensuing year I made the decision
that I too had drawn the line against obesity my brother and my mother both had
surgery and that they were. You know. They were more than three hundred with the
help that do I need to be before I go and the first month I lost about twenty five
pounds the next several months I lost ten to twelve pounds per month until I
reached my final loss of eighty five pounds and I believe that was about seven
months altogether as when I hit that mark nobody beats me because I'm
a guy you get it you're going to have to kill me to stop and I realized that our.
This weight problem was beating me I was tired of being tired tired of being
overweight tired and needy and back again it has made
a tremendous impact in my life I am so invigorated I am able to keep up with my
kids and my new grandchild and I think that is the best choice I have ever made my
life was to have this surgery this is truly life saving and especially in my
husband's case on November first of two thousand. And nine he suffered
a cardiac arrest Mind you this was after his weight loss surgery he was in great
physical condition however he had an undiagnosed electrical problem with his heart
that we were not aware of and he actually arrested here in our home and died
Fortunately I was with him and I was able to call nine one one and they arrived
within I think two and
a half minutes while I worked on him in the meantime as he was put in
a hypothermic coma at the hospital to preserve what they didn't know what was left
of his brain most people don't even survive the sort of thing that's referred to as
sudden death. As the months went by and the cardiologist the fireman and the
paramedics met with us in fact Richard with invited to attend
a convention and he's the only survivor. Unanimously told us that had
Richard not lost that one hundred fifteen pounds he most likely would not have been
able to have been resuscitated he wouldn't be here today and I looked at my
children or my wife and I knew that they were more important to me than anything
else more important than any slice of pizza or that extra scoop of ice cream or
whatever it was and I was willing to make the changes I want to live.
The numbers are staggering twenty four million people in the United States have
diabetes what's more alarming is
a quarter of them don't even know that they have it diabetes is the seventh leading
cause of death in the United States pre-diabetes or insulin resistance is very
prominent as well fifty seven million people in the United States have pre-diabetes
the good news is diabetes is controllable and pre-diabetes or insulin resistance is
often reversible and completely controllable with
a few minor changes in your lifestyle and diet. This is a model of
a human cell this might represent blood glucose we get blood glucose from
carbohydrates fifty percent of our diet should be carbohydrates this represents
insulin our pancreas makes one in
a normal healthy situation when there is glucose and insulin the cell opens up
to allow our body to use the good coast for energy.
With type two diabetes it's
a little more complicated our cells are there ready to accept the glucose for
energy we have the glucose from the food that we eat and then type two diabetes our
pancreas is producing insulin The problem is ourselves become resistant to
allowing that combination to enter. As
a result the glucose becomes more prevalent in our blood stream
this represents how blood sugar or blood glucose travels in our blood stream under
a normal healthy situation it travels really freely and liquidy. When our blood
sugar becomes elevated because it can't get into the cells for energy it becomes
sluggish and syrupy the serve and thickness is what causes all the complications
with diabetes the number one tool to prevent diabetes is you guessed it exercise
more potent than any pill that we have available on the market now you don't have
to go to the gym and work out hours at
a time to change your blood chemistry what we know is it's just one hundred fifty
minutes a week do you have twenty one minutes
a day to prevent diabetes that's all it takes put your shoes on and start walking
there are also very simple changes that you can make in your diet that will help
tremendously Americans consume far too many refined carbohydrates and sugars
often our meals consist of why bread refined cereals candy and white
pasta. We're also drinking
a lot of our calories and the problem with that is they don't even make us feel
full but there are jammed was sugar and calories there is
a better way including more produce in your diet will improve it immensely look at
the colorful Browny of fruits and vegetables fresh fruits or frozen vegetables
fresh or frozen whole grain breads brown rice keen Why are all going to add
a lot of nutrition and maybe even more importantly
a lot of fiber the benefit of fiber is that it makes you feel full Consequently you
eat less calories but still feel satisfied include more brightly colored fruits and
vegetables in your diet one more tip eat more of your meals at home over fifty
percent of our food dollar is spent away from home giving us to larger portions
diets that are high in transit and saturated fats and too much sodium I know it's
hard at the end of the day to think about going home and preparing
a meal but remember Simple is better let's take a look at
a sample I use this says the plate method it's very easy to come home and throw
a couple different colors of vegetables in the microwave cover half of your plate
with those add to it a small amount of lean protein about the size of
a deck of cards enjoy chicken fish pork growing in smaller
portions and then a quarter of your plate is
a whole grain lots of great choices to choose from whole grain processed brown rice
keen was sweet potatoes take your pick. Add to it some fruit like an apple or
frozen berries for dessert some milk for calcium and you have
a great complete satisfying meal so remember if you want to try and prevent
diabetes or just improve your health small changes in diet and exercise can really
produce big rewards. One of the ways that we've made operations even safer
and less invasive is through the use of modern new operating environments at the
new mills Peninsula Medical Center our new operating rooms offer the latest in
surgical technology. What's so exciting about the new operating rooms at MIL's
Peninsula Medical Center is something called an integrated operating room system
before we used to really feel like we were in
a box we were not connected to the outside world in any way now with high speed
internet connection we can get test results lab X.
Rays we can even talk and show images to the doctor in the next operating room or
somewhere else in the world this connectivity is in extreme advance for our new
hospital Follow me inside let's go take
a look at what's in there. As you can see right off the bat it's
a completely spacious room this is probably two times larger than most of the
operating rooms I've ever operated in the equipment is State of the art high
definition monitors better than any T.V.
Set at home. You can see them scattered about the room brand new technology for
lights overhead so you can see perfectly. And video monitors on the wall that allow
conferencing to outside of the operating room so if you need to call another
surgeon and get an opinion talk to the family member of the front desk everything
is right here you don't have to scrub out this equipment is used for minimally
invasive surgery it is suspended from the ceiling no on the role that the nursing
staff have to roll carts of equipment in and out of operating rooms all. The
operating rooms are equipped identically and that's going to make for incredibly
efficient surgery less time under anesthesia and better patient outcomes this
equipment will actually allow the surgeon to control the lights the insufficient
and other technical details by voice commands rather than having to ask someone to
push a button or turn
a knob follow me this way. You can see the multiple monitors in the room.
Normally we used to just having two television screens to operate with now we're
having five and six. A few of the things I want to show you include the fact that
we have equipment all mounted from the ceiling so that if we need another piece of
equipment that has to be plugged in no longer do we have to run cords along the
floor to we find an electric outlet everything will be off the floor creating
a very safe working environment and if you come here this is looks like
a standard light handle for moving the light around the operating room but it's
actually a camera. And so if you want to communicate to the outside world there's
a monitor right here that shows you my hand this would be where the patient is
lying for surgery and if I run into something that I need advice on I might call
one of my partners and say can you look at the screen what do you think this is is
this a true or is this benign and I mean that's
a whole new world in the operating room you can see why as
a physician and surgeon at MIL's Peninsula Medical Center I am excited about our
new operating rooms but if myself or one of my family members neighbors anyone I
know in the community has to come to the operating room I can tell them that these
technological improvements will speed their recovery will make time in the
operating room blasts and they will be able to get back to their friends family and
work faster than ever the average hospital stay for
a patient undergoing weight loss surgery is one to two days at the new mills
Peninsula Medical Center our patients enjoy all private rooms with outside or
garden views one hundred percent fresh not recycle their. Family sleeping
accommodations and healing trails and gardens.
To learn more about the weight loss surgery program or the new medical center in
Burlingame please visit us online thank you for joining us on this edition of
Health point T.V. See you next time.